Individual provider Active NPI

Kelly Eileen Gorczyca, MS, PT

  • Sports Physical Therapist
  • Hackettstown, NJ
National Provider Identifier
1801940481
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
40QA00762300 Issued in NJ
Practice address
1001 Route 517
Hackettstown, NJ 07840-2730
Phone
(908) 441-6352
Fax
(908) 275-8407
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Sports Physical Therapist 2251S0007X 40QA00762300 NJ Primary

Addresses

Primary practice location

1001 Route 517
Hackettstown, NJ 07840-2730

Mailing address

PO Box 417
Allamuchy, NJ 07820-0417
Phone (908) 441-6352

Other identifiers 1

IdentifierTypeStateIssuer
40QA00762300OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000165 NJ Practitioner - Physical Therapist in Private Practice 0941259444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

470 Schooleys Mountain Rd
Suite 4
Hackettstown, NJ 07840-4238
Phone (908) 684-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA00762300NJMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Motion Physical Therapy LLC Physical Therapist CurrentSince Feb 17, 2006 Accepting new patients
MCRC Physical Therapy, LLC Physical Therapist PastSince May 19, 2008 Accepting new patients

Locations

470 Schooleys Mountain Rd
Ste 4
Hackettstown, NJ 07840
Phone (908) 684-4700

101 Bilby Rd
Bldg 2
Hackettstown, NJ 07840
Phone (908) 684-4700

1001 Route 517
Hackettstown, NJ 07840
Phone (862) 244-5885

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1801940481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "078200417",
            "telephone_number": "908-441-6352",
            "fax_number": "908-275-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402730",
            "telephone_number": "908-441-6352",
            "fax_number": "908-275-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORCZYCA",
        "first_name": "KELLY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA00762300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA00762300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.